The types of medication errors commonly reported in schools include missed doses, incorrect doses, giving a medication without authorization, giving the wrong medication, and other unspecified mistakes. You can change your cookie settings at any time. Model School Nursing Standard/Protocols – Medication Administration Alaska Division of Public Health, School Nursing/School Health Program, December 2014 Page 1 PURPOSE OF DOCUMENT: This model school nursing standard/protocols is designed to assist the school district/school nurse in writing nursing policies/procedures for medication administration. 6,7,8 Students from these schools, as well as students from other states, will be involved in the medication-use process. Knowing what you're up … A medication error is an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication. Empirical evidence has identified that medication errors occur in the school setting; however, there is little research that identifies medication error prevention strategies specific to the school environment. A new set of guidelines features recommendations for nearly a dozen focal points where medication errors can be avoided in the hospital setting, including admission, monitoring, and discharge. A nurse was charged with reckless homicide and abuse after mistakenly giving a patient a fatal dose of the wrong medicine. Jemima Kodua, RN, MSN Notify school nurse and Administrator Notify parent/guardian unless Nurse or Administrator will be doing this. Position statement: Medication administration in the school setting. school setting. needs specified medication during the course of the school day to attend school and benefit from the educational program, it is in the school's interest to make this accommodation.3SCHOOL NURSE 2 National Association of School Nurses. o the school’s procedures to minimise errors and process for reporting medication errors. As with any therapeutic intervention, when complementary and/or alternative The potential for unsafe administration of medication in schools or during school sponsored events poses a possible liability for schools. Supporting pupils at school with medical conditions. The U.S. Food and Drug Administration received approximately 20,000 reports of medication errors (prehospital and in-hospital) from 1992Ï2002. Empirical evidence has identified that medication errors occur in the school setting; however, there is little research that identifies medication error prevention strategies specific to the school environment. Observational studies in hospitals have reported administration errors in 3%-8% of doses in the United Kingdom (UK) (1,2), and in 0.6%-14.6% in the United States (US) (3), excluding wrong time errors. Hide. • Other allergies the student has. Pennsylvania is home to 85 nursing programs, 7 pharmacy schools, and 7 medical schools. In the absence of licensed health professionals, and without adequate training for personnel involved with medications in these settings, medication errors often go undetected or unreported. Advances in clinical therapeutics have resulted in major improvements in health for patients with many diseases, but these benefits have also been accompanied by increased risks. Any errors in medication administration at school need to be reported to at least 1 common supervisor so that patterns of errors and corrective action can be taken. Medication Errors: Policies, Prevention, Remediation March 20, 2014 By. 4 What can pharmacists do to help prevent these medication errors? Purpose Medications are mostly taken in patients’ own homes, increasingly administered by carers, yet studies of medication safety have been largely conducted in the hospital setting. • When a school trip has been organised, the school ask that any medication is handed to the named member of staff with responsibility for administering medication. Medication Administration Curriculum PARTICIPANTS MANAL Content Contributors Colorado Guidelines for Medication Administration: An Instructional Program for Training Unlicensed Personnel to Give Medication in Out-of-Home Child Care, Schools, and Camp Settings, Fifth Edition, 2008, developed by Healthy (2003). A registered professional nurse may not delegate the procedure of medication administration in a school setting to unlicensed persons when administered by any of these means: (1) By intravenous (IV) route, (2) By intramuscular (IM) route, except when administered in an anticipated health crisis, (3) Through intermittent positive-pressure breathing machines; or (4) Through an established feeding tube that is … See interpretive guidance at §482.25(b)(6) for more details on internal reporting requirements An understanding of state laws and school district policies and procedures is necessary to reduce the potential liability issues … • Other health problems or illnesses that the student has. Medication errors can happen to anyone in any place, including your own home and at the doctor's office, hospital, pharmacy and senior living facility. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispe… School Health Services: Medication Administration Management of medication administration in the school setting School districts/schools may apply for permission to delegate the administration of prescription medications to unlicensed school personnel as determined by the school nurse, provided that certain requirements are met. Nursing Delegation in the School Setting. Mardi Adams, RN-C. Debra Ward Goldberg, RN, MSN. If a school policy permits the administration of alternative medications, they should be treated as any other medication requiring a licensed prescriber’s order and parent/guardian permission. Methods Five databases (PubMed, Embase, CINAHL, Ovid@Journals, OpenGrey) were searched for studies evaluating the use and effectiveness of double checking on reducing medication administration errors in a hospital setting. • Refer to the Guidelines for the administration of medications in schools to establish: o school-specific procedures for the administration of medications and ensure all relevant staff are familiar with these procedures. nursing student errors and near misses; of these, most have focused on medication errors.18­20 In one Austra­ lian study, Reid­Searl and colleagues interviewed 28 students and found that nine reported making medi­ cation errors or near misses.19 Reasons for errors in­ cluded a lack of immediate nursing supervision and numerous distractions. Position Statement. This member of staff will then complete the details of the medication and administration requirements in the medical book and will also log medication given during the school trip. GOV.UK Show or hide search. A substantial amount of literature about medication errors is based in the hospital setting, but there are differences in the type of clinical problems encountered, classes of medications used and the organization of services in primary care. Ref: … The Institute for Safe Medication Practices (ISMP) has identified 10 key elements with the greatest influence on medication use, noting that weaknesses in these can lead to medication errors. Evidence on the efficacy of prevention strategies for improving medication safety is badly needed in a number of settings, including care transitions, ambulatory care (particularly home care, self-care, and medication use in schools), pediatric care, psychiatric care, and the use of OTC and complementary and alternative medications. The FDA enhanced its efforts to reduce medication errors by dedicating more resources to drug safety, which included forming a new division on medication errors at the agency in 2002. The National Coordinating Council for Medication Error Reporting and Prevention defines a medication error as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. NASN POSITION. Medication errors were 3.1 times more likely to occur when such unlicensed personnel dispensed the drugs, the authors estimated. printable version. Kids are especially at high risk for medication errors because they typically need different drug doses than adults. They are: 1. patient information 2. drug information 3. adequate communication 4. drug packaging, labeling, and nomenclature 5. medication storage, stock, standardization, and distribution 6. drug device acquisition, use, and monitoring 7. environmental factor… The practice of giving medication to students at schools … As with the more gen… Methods and definitions vary, so it is difficult to compare studies directly, but it is clear that administration errors are not uncommon. medication administration to students in a school setting. According to 704 KAR 4:020, Section 4(3)(g), beginning with the 2010-2011 school year, proof that all unlicensed school personnel who have accepted delegation to perform medication administration in school have completed a … An adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to a medication. Patient safety experts say this may actually make hospitals less safe. Of the four most common health concerns in schools – diabetes, asthma, seizure disorders, and anaphylactic allergies –all can be emergently treated with medications delegated by school nurses to UAP with the exception of Diastat, a medication used to treat severe seizures. 6 Guide to Medication Administration in the School Setting Policy and Administrative Regulation Development • Other medications the student is taking, including herbal medications, dietary supplements, and/or over-the-counter (OTC) medication. In either case, the reporting of medication errors that are the result of missed or late dose administration must be reported to the attending physician in accordance with requirements at §482.25(b)(6). Document what the error was and if possible why if occurred. Anecdotal reports and results of state licensure surveys indicate that medication errors can be a significant problem in these settings. Other Considerations for Medication Administration in the School Setting . Some schools use a log, and others use a computer-based student medical record system. Medication Errors Check the well-being of the child & take appropriate actions. Medication administration by unlicensed assistive personnel has become fairly common in assisted living settings, mental health settings, school settings and developmental disabilities settings, as examples. Many factors can lead to medication errors.